A clinical case series of patients with a hard-to-heal DFU treated with NCM were recruited between March and June 2017 in a specialised diabetic foot unit. DFUs were treated daily with NCM over four weeks, although the health professional could decide to continue NCM treatment in some patients. Cases were followed up for 12 weeks. Wollina score (granulation, colour and consistency tissue), wound area (cm2), percentage reduction and wound closure (%) were measured. To read the full article, log in using your MPFT NHS OpenAthens details.
Products that provide a protective skin barrier play a vital role in defending the skin against the corrosive effect of bodily fluids, including wound exudate, urine, liquid faeces, stoma output and sweat. There are many products to choose from, which can be broadly categorised by ingredients. This article describes the differences in mechanisms of action between barrier products comprising petrolatum and/or zinc oxide, silicone film-forming polymers and cyanoacrylates, and compares the evidence on them. To read the full article, log in using your MPFT NHS OpenAthens details.
The National Institute of Health and Care Excellence (NICE) and the Social Care Institute for Excellence (SCIE) have jointly produced a guide to prevent pressure ulcers in care homes (NICE, 2019). This guide is based on the NICE (2014) guideline and quality standards on pressure ulcers.
The NICE guideline covers prevention and treatment of pressure ulcers in people of all ages and across care settings. To read the full article, log in using your MPFT NHS OpenAthens details.
Pressure ulcer prevention plans are most effective when all care staff are informed and involved. Siobhan McCoulough explains which training should be provided and what organisational changes are required to make prevention more effective. To read the full article, log in using your MPFT NHS OpenAthens details.
Why you should read this article:
To enable you to outline the various types and characteristics of moisture-associated skin damage
To understand the importance of preventing contact between the skin and excessive moisture
To identify the role of optimal skin care in the prevention and management of moisture-associated skin damage
To read the full article, log in using your MPFT NHS OpenAthens details.
Over the years, there has been a plethora of evidence-based literature on effective and ineffective wound management practices; however, some healthcare professionals continue to manage wounds using outmoded or ritualistic practices. To read the full article, log in using your NHS OpenAthens details.
We've added 10 new Be Aware updates following your suggestions:
Musculoskeletal ; Osteoporosis ; Nutrition and obesity ; Falls ; HR ; Research Methods ; Information Governance ; Bladder, bowel and pelvic healthcare ; Rheumatology ; Medicines and healthcare products regulatory agency (circulated email)
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To study the effectiveness of tailored repositioning and a turning and repositioning system on: (1) nurses’ compliance to repositioning frequencies; (2) body posture of patients after repositioning; (3) incidence of pressure ulcers and incontinence‐associated dermatitis; (4) nurses’ and patients’ preferences, comfort and acceptability; and (5) budget impact.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
Hospital-acquired pressure ulcers (PU) continue to occur despite an ongoing focus on prevention. The aim of this review was to identify and evaluate primary research which links pressure ulcer risk assessment with prescription and implementation of preventative interventions for hospitalised adults. To read the full article, log in using your MPFT NHS OpenAthens details.
Almost one adult in 20 in the UK has a wound, while the NHS cares for 2.2 million people with wounds annually. Most of the people in the UK with a wound are managed in primary care by nurses (Guest et al, 2015). Some wounds, such as minor burns, cuts, abrasions and surgical wounds, heal quickly and with minimal intervention. However, over half of all wounds go on to become chronic, with approximately 39% of these failing to heal after 12 months (Vowden and Vowden, 2009). One of the basic tenets of evidence-based wound care is choosing the correct dressing. This article discusses the management of chronic wounds in the community and provides guidance for community nurses on choosing appropriate dressings. To read the full article, log in using your NHS OpenAthens details.
The fourth and final article in this four-part series about understanding compression therapy explores the options available to clinicians and patients when the need for compression bandaging therapy has been established through holistic assessment. This paper presents an overview of both inelastic and elastic bandage systems. To read the full article, log in using your NHS OpenAthens details.
It may be a fallacy to state that most pressure ulcers are preventable, as research typically fails to recognise that most NHS nurses do not work in a well-staffed and well-equipped work environment 24 hours a day, 7 days a week. This article acknowledges this and proposes disrupting the current workflow with a default intervention that reduces the risk of pressure ulcers forming, without creating more work for under-resourced staff. To read the full article, log in using your MPFT NHS OpenAthens details.
Maintaining skin integrity in elderly patients is one of the core elements in all fields of nursing. It is important that nurses are able to identify and eliminate as far as possible the risk factors for poor skin health ... This article will highlight these issues and provide some measures practice nurses can implement and prescribe to help prevent and manage these skin problems. To read the full article, log in using your MPFT NHS OpenAthens details.
To examine the effect of psychological distress in mediating the relationship between the severity of pressure injury and pain intensity in hospitalized adults.. To read the full article, log in using your MPFT NHS OpenAthens details.